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<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 35%;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Montant du forfait de charges :</span></li>
			</ul>
			</td>
			<td style="width: 65%;">{% textinput_tag name=&quot;e83f0051&quot; data_label=&quot;Montant du forfait de charges&quot; data_map_field=&quot;fixed_charges_price&quot; data_help=&quot;Montant du forfait de charges&quot; maxlength=&quot;45&quot; data_ancien_ids=&quot;32449&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

<table border="0" cellpadding="2" cellspacing="2" style="width:100%;">
	<tbody>
		<tr>
			<td style="text-align: justify;">
			<ul>
				<li><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Modalit&eacute;s de r&eacute;vision du forfait de charges. Le forfait de charges fera l&rsquo;objet d&rsquo;une r&eacute;vision annuelle dans les m&ecirc;mes conditions que le loyer principal tel que pr&eacute;vu &agrave; la clause &sect; &quot;conditions financi&egrave;res&quot;&nbsp;A 2&deg; &laquo;&nbsp;Modalit&eacute;s de r&eacute;vision&nbsp;&raquo;, soit :</span></li>
			</ul>
			</td>
		</tr>
	</tbody>
</table>

<p style="text-align: justify;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date de r&eacute;vision :&nbsp;</span>{% dateinput_tag name=&quot;2da68347&quot; placeholder=&quot;jj/mm/aaaa&quot; data_label=&quot;Date de r&eacute;vision du forfait de charges&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date de r&eacute;vision du forfait de charge&quot; data_ancien_ids=&quot;32234&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</p>

<table border="0" cellpadding="1" cellspacing="1" style="width:100%;">
	<tbody>
		<tr>
			<td style="vertical-align: middle; width: 35%;"><span style="font-family:ITCAvantGardePro;font-size:12px;font-weight:200;">Date ou trimestre de r&eacute;f&eacute;rence de l&rsquo;IRL :</span></td>
			<td style="width: 60%;">{% textinput_tag name=&quot;934aefab&quot; data_label=&quot;Date de r&eacute;f&eacute;rence de l&#39;IRL&quot; data_map_field=&quot;nomap&quot; data_help=&quot;Date de r&eacute;f&eacute;rence de l&#39;IRL&quot; maxlength=&quot;60&quot; data_ancien_ids=&quot;32182&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}</td>
		</tr>
	</tbody>
</table>

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